MORTALITY DURING THE COVID-19 PANDEMIC AND RISK REDUCTION DIRECTIONS: PRELIMINARY RESULTS FOR 2020

Author(s):  
Maria Polozhikhina ◽  

The mortality indicators of the world's population in 2019 and 2020 are analyzed. Despite the approximate character and inaccuracy of the available information for 2020, the analysis allows to present the overall picture and preliminarily estimate the demographic losses from the COVID-19 pandemic. In addition, the problems that have been identified in national health systems during the fight against coronavirus infection are considered. The experience gained serves as a basis for proposals for improving the healthcare system in Russia.

2020 ◽  
Vol 3 (8) ◽  
pp. 105-114
Author(s):  
S. S. BUDARIN ◽  

The article is devoted to the analysis of measures taken by governments of different countries to prevent the growth of the incidence of coronavirus infection, to ensure the treatment of patients with COVID-19. This is necessary for further evaluation of the effectiveness of the measures taken and the use of financial resources allocated to fight the epidemic. Preliminary results of changes in the situation with the spread of COVID-19 indicate the success of tactics and strategies adopted in different countries, which is confirmed by statistics on the number of infected citizens and the number of deaths from coronavirus.


2021 ◽  
pp. 24-32
Author(s):  
I. A. Deev ◽  
◽  
O. S. Kobyakova ◽  
M. A. Babeshina ◽  
S. V. Baranovskaya ◽  
...  

The pandemic of new coronavirus infection COVID‑19 has become a serious challenge for the national health systems, including Russia, setting ambitious goals aimed at preventing the spread of infection and maintaining the availability of medical care in environment of increasing pressure. The aim of the study was to develop, based on the principles of lean production, a set of measures to increase the availability of emergency medical services for patients diagnosed with or suspected of a new coronavirus infection COVID‑19 in the Tomsk Region. Standard tools of lean manufacturing are applied to the work process of the admission department of the respiratory center in RSBHI «Medical sanitary station № 2». As a result of implementation of target state map, which provides for the optimization of process of transferring a patient diagnosed or suspected of a new coronavirus infection COVID‑19 to admission department, a positive dynamics of local (5.4 times increase in the proportion of calls completed within 15 minutes after the patient was delivered to the admission department) and system (an increase of 1.3 times in the proportion of calls with the time the ambulance team reaches the patient within 20 minutes) indicators of the ambulance service was achieved. The study confirms the effectiveness of lean manufacturing tools for optimizing the work of ambulance and allows us to recommend them for use in a pandemic and other risks of emergency.


2010 ◽  
Vol 7 (1) ◽  
pp. 7-8 ◽  
Author(s):  
Alfredo Pemjean

Chile has two major national health systems, the public one, which serves nearly 80% of the country's close to 17 million population, and the private one, which serves the other 20%. The public primary healthcare system has been developing in Chile since before the Alma Ata Conference in 1978 (which produced the first international declaration on the importance of primary healthcare).


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Archana Shrestha ◽  
Rashmi Maharjan ◽  
Biraj Man Karmacharya ◽  
Swornim Bajracharya ◽  
Niharika Jha ◽  
...  

Abstract Background Cardiovascular diseases (CVDs) are the leading cause of deaths and disability in Nepal. Health systems can improve CVD health outcomes even in resource-limited settings by directing efforts to meet critical system gaps. This study aimed to identify Nepal’s health systems gaps to prevent and manage CVDs. Methods We formed a task force composed of the government and non-government representatives and assessed health system performance across six building blocks: governance, service delivery, human resources, medical products, information system, and financing in terms of equity, access, coverage, efficiency, quality, safety and sustainability. We reviewed 125 national health policies, plans, strategies, guidelines, reports and websites and conducted 52 key informant interviews. We grouped notes from desk review and transcripts’ codes into equity, access, coverage, efficiency, quality, safety and sustainability of the health system. Results National health insurance covers less than 10% of the population; and more than 50% of the health spending is out of pocket. The efficiency of CVDs prevention and management programs in Nepal is affected by the shortage of human resources, weak monitoring and supervision, and inadequate engagement of stakeholders. There are policies and strategies in place to ensure quality of care, however their implementation and supervision is weak. The total budget on health has been increasing over the past five years. However, the funding on CVDs is negligible. Conclusion Governments at the federal, provincial and local levels should prioritize CVDs care and partner with non-government organizations to improve preventive and curative CVDs services.


1991 ◽  
Vol 20 (2) ◽  
pp. 294
Author(s):  
David G. Warren ◽  
Mark G. Field

Author(s):  
Robin Gauld

The English NHS is of significance among health policy observers around the globe for various reasons. The NHS is particularly noteworthy for the fact that, for many, it represents the high-income world’s best attempt to have built and maintained a ‘national’ health system with a focus on universal access to care that is free at point of service. The NHS has been in transition for several years. Many commentators have highlighted the role and influence of US market ideals in this transition, with various UK governments clearly pushing this agenda. However, is often useful to look to countries more closely comparable to England, such as New Zealand, for comparison with a view to improvement. This chapter takes such an approach in looking at the NHS from abroad. It draws upon the case of NZ which, in many ways, is very similar to England when it comes to health policy and the healthcare system. In doing so, it aims to provide a critique of the NHS reforms and demonstrate that there are alternatives to the policies and structures being pursued for the English NHS by the Coalition government.


2017 ◽  
Vol 6 (4) ◽  
pp. 436-445 ◽  
Author(s):  
Jorge Osma ◽  
Michaela Sprenger ◽  
Tobias Mettler

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